A pulled sutures technique for bony Bankart lesion

Abstract

In an attempt to present a new surgical technique for arthroscopic bony Bankart fixation, the authors developed the pulled sutures technique. In executing the new method, the authors first passed several non-absorbable sutures through labroligamentous tissue with displaced articular fragment by mimicking transglenoid suture technique. Aimed at achieving a safe and stable fixation, using a knotless anchor rather than transglenoid suture, was deployed. Overall, this pulled sutures technique was shown to be effective with the result of direct reduction, stable, and safe fixation for bony Bankart's lesion.

Arthroscopic Bony Bankart Repair Using a Double-Row Double-Pulley Technique

“…An arthroscopic suture anchor fixation of bony Bankart lesions provides successful midterm outcomes and has a low recurrence rate. 2 Variations of the bony Bankart fixation technique have been reported; for instance, sutures being passed around or through the osseous fragment, 4 , 5 using sutures of the adjacent anchor as a suture bridge, 6 a pulled suture, 7 transglenoid fixation, 8 indirect reduction by labral repair, and internal fixation with a screw. 9 Previously reported techniques have yielded good results; however, fixation through the bony fragment might result in the fragment fracturing, making the surgery more complicated.…”

Clinical Results of the Arthroscopic "Multiple Pulled Suture" Technique for Large or Comminuted Bony Bankart Lesion

“…Ten patients (mean age, 49.8 years; range, 31-79 years; three women and seven men) with anterior shoulder instability due to a bony Bankart lesion were treated from January 2009 to June 2014 using the arthroscopic MPS technique. 19) The indications for the MPS technique were: (1) anterior glenoid loss <25% except to the osseous fragment or (2) the bony fragment was >20% of the diameter of the inferior circle on the glenoid or comminuted in an acute or a chronic bony unstable Bankart lesion. The mean follow-up was 27.3 months (range, 6-50 months).…”

“…In our previous report, we described the "multiple pulled suture (MPS) technique" with a knotless suture anchor. 19) In the present study, we investigated the clinical outcomes and complications after arthroscopic fixation of bony Bankart lesions using the MPS technique. We hypothesized that this technique would provide good restoration of stability with high patient satisfaction and low complication rates.…”